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血浆miR-106a在结直肠癌中的表达及其临床意义

[Expression of plasma miR-106a in colorectal cancer and its clinical significance].

作者信息

Zhang Lijing, Meng Limin, Fan Zhibin, Liu Bo, Pei Yongbin, Zhao Zengren

机构信息

Department of General Surgery, First Hospital of Hebei Medical University, Shijiazhuang 050031, China. E-mail:

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2014 Mar;34(3):354-7.

Abstract

OBJECTIVE

To detect plasma miR-106a level in patients with colorectal cancer (CRC) and analyze its correlation to the clinicopathological features and disease diagnosis.

METHODS

miRNA expression profiling was performed using miRNA microarray chip for 3 colorectal adenocarcinoma samples and matched normal tissues. Plasma samples was collected from 50 colorectal cancer patients for quantitative analysis of miR-106a using real-time RT-PCR using 47 plasma samples from healthy volunteer as the control. Forty plasma samples were collected from these patients 7 days after operation to examine the changes in miR-106a expression.

RESULTS

miR-106a was differentially expressed in colorectal adenocarcinoma compared to normal tissues. The plasma levels of miR-106a expression were significantly higher in the cancer patients than in the healthy control group (P=0.012). miR-106a expression significantly decreased after the operation compared with its preoperative level (P<0.01), and no correlation was found between preoperative plasma miR-106a and the clinicopathological features including lymph node metastasis and TNM stage (P>0.05). miR-106a showed a receiver operating characteristic (ROC) curve area of 66.1%, a sensitivity of 62.3%, and a specificity of 68.2% in discriminating colorectal cancer patients from the control subjects.

CONCLUSION

plasma miR-106a is up-regulated in CRC patients, suggesting its potential value for the diagnosis of CRC.

摘要

目的

检测结直肠癌(CRC)患者血浆中miR-106a水平,并分析其与临床病理特征及疾病诊断的相关性。

方法

使用miRNA微阵列芯片对3例结直肠腺癌样本及其配对的正常组织进行miRNA表达谱分析。收集50例结直肠癌患者的血浆样本,以47例健康志愿者的血浆样本作为对照,采用实时RT-PCR对miR-106a进行定量分析。收集这些患者术后7天的40份血浆样本,检测miR-106a表达的变化。

结果

与正常组织相比,miR-106a在结直肠腺癌中差异表达。癌症患者血浆中miR-106a的表达水平显著高于健康对照组(P=0.012)。与术前水平相比,术后miR-106a表达显著降低(P<0.01),术前血浆miR-106a与包括淋巴结转移和TNM分期在内的临床病理特征之间未发现相关性(P>0.05)。在区分结直肠癌患者与对照受试者时,miR-106a的受试者工作特征(ROC)曲线面积为66.1%,灵敏度为62.3%,特异性为68.2%。

结论

CRC患者血浆中miR-106a上调,提示其在CRC诊断中的潜在价值。

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